Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Nitin V Sheth MD LLC

Nitin V Sheth MD LLC was paid $360K by Medicaid between Aug 2020 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoNITIN V SHETH MD LLC
LEWISTOWN, PA 17044
33aNPI1124324017assigned 02/10/2011
28Total paid$360K
24GClaims5,058
24DCodes billed2
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers

Next to other Adolescent and Children Mental Health Clinic/Center providers in Pennsylvania

Rank by total paid#34 of 40
Median peer was paid$1.48M
This provider vs. median0.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2020318$8K
20211,266$53K
20221,107$87K
20231,281$110K
2024incomplete1,086$102K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54% 3,398 2,541 $195K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46% 1,660 1,305 $165K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSHETH, NITIN (OWNER / MANAGER)